CASEY PUCKETT


Address: 2131 E State St, Athens, OH 45701-2138
Phone: 7405893100

CASEY PUCKETT (NPI# 1902412422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902412422
Entity Type Individual
Full Name CASEY PUCKETT
Credential CNP
Practice Address 2131 E State St
Athens
OH 45701-2138
Mailing Address 61564 Mount Zion Rd
Mc Arthur
OH 45651-8612
Practice Telephone 7405893100
Mailing Telephone 7405774037
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN.CNP.0026897 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2131 E STATE ST
City ATHENS
State OH
Zip Code 45701-2138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831192020 Catherine A Coats Obstetrics & Gynecology 2131 E State St, Athens, OH 45701-2138 2005-05-23
1770108862 Jason Andrew Thompson Nurse Anesthetist, Certified Registered 2131 E State St, Athens, OH 45701-2138 2020-06-15
1255983995 Gabriela Prieto Physician Assistant 2131 E State St, Athens, OH 45701-2138 2019-07-12
1053978007 Megan R Radcliff Nurse Practitioner 2131 E State St, Athens, OH 45701 2019-05-24
1801387154 Kyle Klein Physical Therapist 2131 E State St, Athens, OH 45701-2138 2018-05-22
1477052066 Rosanna Dillard Nurse Practitioner 2131 E State St, Athens, OH 45701-2138 2018-02-08
1073961678 Tiffany R. Boggs Nurse Practitioner 2131 E State St, Athens, OH 45701-2138 2016-05-25
1669852604 Megan Weiss Nurse Anesthetist, Certified Registered 2131 E State St, Athens, OH 45701-2138 2015-06-04
1609279363 Bobbi J. Lundy Nurse Practitioner 2131 E State St, Athens, OH 45701-2138 2014-10-08
1093149460 Lauren Lee Mente Registered Nurse 2131 E State St, Athens, OH 45701-2138 2013-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912508797 Vince R Koping Pharmacist 929 East State St, Athens, OH 45701 2020-11-06
1164051926 Rachel Staker Student in an Organized Health Care Education/Training Program 86 Circle Drive, Suite 203, Athens, OH 45701 2020-04-03
1932736709 Maria Augusta Suarez-hamman Student in an Organized Health Care Education/Training Program 86 Columbus Circle, Suite 203, Athens, OH 45701 2020-03-23
1831746882 Justin Joseph Moakler Specialist/Technologist Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 2019-08-23
1275186991 Barry Brady Psychologist Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 2019-07-22
1821559691 Mary N Lee Student in an Organized Health Care Education/Training Program 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 2019-03-26
1275007692 Gabrielle Ruth Wesemeyer Student in an Organized Health Care Education/Training Program 6 South Congress Street, Athens, OH 45701 2019-01-18
1528551918 Bradford Thomas Meyers Psychologist 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 2018-06-11
1912499344 William Monopoli Student in an Organized Health Care Education/Training Program 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 2018-06-01
1477044113 59 Green Ltd. Taxi 14 Cook Drive, Athens, OH 45701 2018-05-29
Find all providers in zip 45701

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295333409 Olivia Palmer Nurse Practitioner 770 W Market St, Athens, AL 35611 2020-10-12
1831706449 Melissa Mason Nurse Practitioner 700 Oglethorpe Ave # C7, Athens, GA 30606-2221 2020-09-28
1972117992 Kei Martin Nurse Practitioner 25569 Evergreen Ln, Athens, AL 35613-6162 2020-09-08
1699315192 Paul Stewart Nurse Practitioner 906 Rolling Dr, Athens, TX 75751-2944 2020-01-13
1679118616 Erica Lyn Prater Nurse Practitioner 445 Providence Rd, Athens, GA 30606-1933 2019-11-13
1932758828 Paula White Nurse Practitioner 12 Walcon Ln Apt 2, Athens, TN 37303-3764 2019-09-04
1114574621 April Lee White Nurse Practitioner 3655 Whiteoak Creek Rd, Athens, WV 24712-9628 2019-08-20
1255988937 Brandi Jones Nurse Practitioner 115 Medical Cir Ste 100, Athens, TX 75751-9004 2019-08-19
1467008128 Erica Denise Long Nurse Practitioner 220 S Jackson St, Athens, TN 37303-4713 2019-08-16
1215598131 Patricia Ann Torres Nurse Practitioner 494 Baxter St, Athens, GA 30605-1172 2019-06-21
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Competitor

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City ATHENS
Zip Code 45701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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